Queensland Wide Pregnancy Support Services

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Progestogen-only pill

SUMMARY

  • Sometimes called the “mini pill” or POP
  • A daily pill that contains only the hormone progestogen.
  • Must be taken at around the same time each day to be effective.
  • It’s often recommended for people who can’t take oestrogen for medical reasons.

How it works

  • Stops the egg from being released by the ovaries.
  • Thickens the mucus in the cervix, making it harder for sperm to reach the egg.

Effectiveness

  • About 99% effective with perfect use.
  • Around 91% effective with typical use.
  • It can take up to 7 days to start working, so extra protection may be needed at first.

Advantages

  • A good alternative for people who can’t use the combined pill.
  • Can help manage periods and sometimes makes them lighter or less painful.
  • Easily available with a prescription and can be collected from most pharmacies.

Things to keep in mind

  • Needs to be taken every day at around the same time — even a few hours late can reduce its effectiveness.
  • Doesn’t protect against STIs, so it’s recommended to also use condoms.
  • Some people may experience side effects like irregular bleeding, spotting, or mood changes.

Will anyone know I’m using it?

  • The pill usually comes in a packet, which can be easy for others to recognise.
  • Some people transfer the pills to another container to make them less obvious.
  • Pills need to be stored properly, as heat, moisture, or light can make them less effective.

Could someone tamper with it?

  • Yes. Pills could be found and thrown away by someone else.
  • If a pill is missed or tampered with, you may need to follow advice from your pharmacist or doctor, and sometimes emergency contraception might be needed.

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Queensland Wide Pregnancy Support Services

Free & Confidential